SB1238 EngrossedLRB104 09624 BDA 19689 b SB1238 Engrossed LRB104 09624 BDA 19689 b
SB1238 Engrossed LRB104 09624 BDA 19689 b
1 AN ACT concerning health.
2 Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
4 Section 5. The Department of Public Health Powers and
5 Duties Law of the Civil Administrative Code of Illinois is
6 amended by adding Section 2310-735 as follows:
7 (20 ILCS 2310/2310-735 new)
8 Sec. 2310-735. Nonopioid alternatives pamphlet. The
9 Department may develop and publish on its website an
10 educational pamphlet regarding the use of nonopioid
11 alternatives for the treatment of acute nonoperative, acute
12 perioperative, subacute, or chronic pain. The pamphlet may
13 conform with the United States Department of Health and Human
14 Services' Pain Management Best Practices Inter-Agency Task
15 Force recommendations and shall include:
16 (1) information on available nonopioid alternatives
17 for the treatment of pain, including available nonopioid
18 medicinal drugs or drug products and nonpharmacological
19 therapies; and
20 (2) the advantages and disadvantages of the use of
21 nonopioid alternatives.
22 Section 10. The Illinois Insurance Code is amended by
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1 adding Section 370c.3 as follows:
2 (215 ILCS 5/370c.3 new)
3 Sec. 370c.3. Parity for coverage for nonopioid medications
4 to treat acute pain.
5 (a) Beginning January 1, 2027, a health insurance issuer
6 shall develop a plan to provide adequate coverage and access
7 to a broad spectrum of pain management services, including,
8 but not limited to, nonopioid, nonnarcotic pain management
9 services and non-medication pain management services that
10 serve as alternatives to the prescribing of opioid or narcotic
11 drugs in accordance with guidelines developed by the
12 Department of Insurance.
13 (b) A health insurance issuer shall file the plan required
14 under subsection (a) with the Department of Insurance and
15 shall post information about the pain management plan on the
16 insurer's publicly accessible website.
17 Section 15. The Illinois Public Aid Code is amended by
18 adding Section 5-58 as follows:
19 (305 ILCS 5/5-58 new)
20 Sec. 5-58. Illinois Medicaid Preferred Drug List;
21 nonopioid drugs. In establishing and maintaining the Illinois
22 Medicaid Preferred Drug List as described in Section 5-30.14,
23 the Department shall ensure that nonopioid drugs on the
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1 Department's preferred drug list, and approved by the U.S.
2 Food and Drug Administration, for the treatment or management
3 of pain shall not be disadvantaged or discouraged with respect
4 to coverage relative to any opioid or narcotic drug for the
5 treatment or management of acute pain as long as the
6 Department retains its authority to manage the Preferred Drug
7 List process pursuant to State or federal law, rules,
8 regulations, and policies and the Department's authority over
9 the Preferred Drug List process is not undermined or
10 compromised.
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